asuhan keperawatan carsinoma mammae

7/25/2019 Asuhan Keperawatan Carsinoma Mammae

1/13

ASUHAN KEPERAWATAN PADA NY. S DENGAN CARSINOMA MAMMAE DIRUANG

BOUGENVIL RUMAH SAKIT RSUD dr. SOESELO SLAWI

DISUSUN OLEH

YUSNI MARYATI (C1013077)

DOSEN PEMBIMBING : Nurhak! "u#h $% S&k'&% N&

STIKES BHAKTI MANDALA HUSADA SLAWI

*+& Cu, N"ak D'- .a+au +a/ .a&T'a+

T'+&(023) 4157670%4157671

TAHUN 2016 2014


2/13

A. DEFINISI

.a-k'r a"u#ara a#a+ah 'k'+8!8k '+ ,#ak -8r!a+ a#a a"u#ara "a- ,'ru

,u!uh 'rua a-#a& Pa#a akhr-"a '+9'+ - !'-a# '-,uk '8+a- # a"u#ara& *ka

'-8+a- ka-k'r ,u ,#ak #ua- a,au ,'rk8-,r8+% '+9'+ ka-k'r a !'-"'ar

(!',a,a') a#a aa-9aa- ,uuh +a-&

M',a,a' a ,'ra# a#a k'+'-ar ',ah '-- (+!;') k',ak a,auu- # a,a

,u+a- '+ka,& S'+a- ,u '+9'+ ka-k'r a 'rara- # ,u+a-% aru9aru% ha,% ku+,% #a-

a/ah ku+,& (Erk T% 2006% ha+ : 359


3/13

'& $a-,a '!uk

D'-a- !'-uru-ka- 'ra, a#a-% +'@'+ ',r8'- ,uuh aka- ,uru- u+a&;& Pr'ara, h8r!8- ',r8'-

P'-u-aa- r'ara, '+a!a a,au +'h #ar 6 ,ahu-&

& =ak,8r '-',k.'!u-k-a- u-,uk !'-#'r,a ka-k'r a"u#ara 2 3 +'h 'ar a#a /a-,a

"a- u-"a a,au au#ara ka-#u--"a !'-#'r,a ka-k'r a"u#ara& (Erk T% 2006%

ha+ :


4/13

F. PENATALAKSANAAN

1& P'!'#aha-

M'-#'akS'+ "ara;

M'-#'akar-a- 'k,ar

M'-#'akP'!u+uh #arah

I-,'ru '+ ara;M'-'ka- ar-a-a#a !a!!a'

-"'r

A+ra- #arah

,'rha!a,M'-u+a

-u,r k'ar-a- ?a P'--ka,a-

k8-,'-

!a!!a'h8a

H'r!',a8+ k'

ar-a- N'?r8'ar-a-Ukura-

!a!!a'

a-8r!a+

Ma!!a'!'!'-kak

Su+a -u,rar-a- +a- Bak,'r Pa,8'-Maa ,u!8r

!'-#'ak k'ar-a- +uar

I-;'k.ura-

'-',ahua-

Ma!!a'

a!',rkB'ra, a#a- ,uru-

P'r;u ar-a-

,'ra-uNu,r kura- #ar

k'u,uha- ?'!aG 8#"

!a'U+ku

I-;+,ra +'uraar',a+'

G -,'r,a ku+,

ar-a-Ea- aru

!'-uru-

G 8+a -a;a


5/13

a& Ma,'k,8! ara+ ('k ,u!8r +8ka+ #a- '-"-ara-)& Mu+a #ar +u!'k,8!

a!a '-a-ka,a- '!'-,a+ ('-a-ka,a- ar-a- "a- +ua #'-a- ku+,

"a- ,'rk'-a)&

& Ma,'k,8! ,8,a+ #'-a- #'k aka+ r'-#ah '+uruh a"u#ara% '!ua k'+'-ar

+!;' #+a,'ra+ 8,8?'?,8ra+ !-8r&

?& Ma,'k,8! ra#ka+ "a- #!8#;ka

S'+uruh a"u#ara% '!ua a,au 'aa- 'ar ar-a- aka+

1) Ma,'k,8! ra#ka+

S'+uruh a"u#ara% 8,8, 'k,8ra+ !a"8r #a- !-8r #a/ah-"a : '+uruh

aka+&

2) Ma,'k,8! ra#ka+ "a- #'r+ua

Sa!a ''r, !a,'k,8! ra#ka+ #,a!ah #'-a- k'+'-ar +!;' !a!ara

-,'r-a

2& N8- '!'#aha-

a& P'-"-ara-

Pa#a a"u#ara #a- k'+'-ar +!;' r'8-a+ "a- ,#ak #aa, #r''k a#a ka-k'r

+a-u, a#a !',a,a' ,u+a-% !',a,a' k'+'-ar +!;' ak+a&

& .'!8,'ra

A#u@a- ,'!a,k ','+ah !a,'k,8! a+a,; a#a '-"ak, "a- +a-u,&

?& T'ra h8r!8- #a- '-#8kr-

.a-k'r "a- ,'+ah !'-"'ar% !'!aka ',r8'-% a-#r8'-% a-,',r8'-%

?8;'r'k,8! a#r'-a+'k,8! h8;'k,8!& (S!'+,'r% #kk% 2002% ha+ : 1654 140

G. KOMPLIKASI

1& M',a,a' k' ar-a- 'k,ar !'+a+u a+ura- +!;' #a- '!u+uh #arah ka+'r

('-"'ara- +!;8'- #a- h'!a,8'-% #aa, !'-'-a ha,% aru% ,u+a-% u!9u!

,u+a-% 8,ak% "ara;)

2& Ga-ua- -'ur8@aku+'r

3& =r8 a"u#ara


6/13

6& S,8+8 8 ara aru! ha+u

4& P'!'rkaa- h'!a,8+8% "a,u #'-a- ?ara 8+a #a- !'-'-,uka- '+9'+ ,u!8r

a#a 'r'#ara- #arah #'-a- '-#!'-,a+ #a- '-,r;u #arah&

(M?ha'+ D% #kk% 2006% ha+ : 16944)

I. ASUHAN KEPERWATAN TEORI


7/13

1. PENG.A*IAN

P'-kaa- !'-?aku #a,a "a- #ku!u+ka- !'+a+u /a/a-?ara% '-u!u+a-

r/a"a, k''ha,a-% '-kaa- ;k% '!'rkaa- +a8ra,8ru! #a- #a-8,k% 'r,a

r'@'/ ?a,a,a- ''+u!-"a&

La-kah9+a-kah '-kaa- "a- ,'!k a#a+ah '-u!u+a- #a,a% u!'r #a,a%

k+a;ka #a,a% a-a+a #a,a #a- #a-8a k''ra/a,a-&

a. P'-u!u+a- #a,aA#a+ah aa- #ar '-kaa- k''ra/a,a- "a- !'ruaka- +a-#aa- r8'

k''ra/a,a-& .u!u+a- #a,a a#a+ah ku!u+a- -;8r!a "a- 'r,uua- u-,uk

!'-'-a+ !aa+ah k+'- #a+a! !'!'rka- auha- k''ra/a,a- &

b. Su!'r #a,a

Da,a #aa, #'r8+'h !'+a+u k+'- '-#r% k'+uara% 'ra/a, +a- #a- ',ua

k''ha,a- +a- ak '?ara /a/a-?ara !auu- 8'r@a&

2. RI$AYAT .ELUHAN UTAMA

R/a"a, k'+uha- u,a!a !'+u, : a#a-"a '-8+a- "a- !'-'ka- a"u#ara% a#a-"a

u+ku% ku+, 'r/ar-a !'rah #a- !'-'ra% '-kak% -"'r&

3& RI$AYAT .ESEHATAN DAHULU

a& Aakah a'- 'r-ah !'-a+a! '-"ak, "a- a!a ''+u!-"a&& Aakah a#a k'+uara "a- !'-#'r,a '-"ak, "a- a!a &


8/13

E!8 aa-"a ?'a, ,'r-u-% !arah% ?'!a% a'- 'rhara ?'a,

'!uh% !'raa a- ,-a+ # RS% !'raa r'-#ah #r% !'ka-!' k8-

"a- -'a,;&

2) S,a,u 8?a+

M'raa ,'ra- #'-a- aka, k+'- kura- 'r-,'rak #'-a- !a"araka,

+a-&

;& .'a,a- k'aa!aa-

.+'- !'-a,aka- k'a,a- ha+a, 6 /ak,u 'rkura-&

4& .LASI=I.ASI DATA

Da,a '-kaa- :

a& Da,a u"'k,;Da,a "a- #'r8+'h +a-u- #ar k+'- #a- k'+uara% !'-?aku ha+9ha+ 'aa

'rku, : k+'- !'-a,aka- -"'r a#a a"u#ara% 'ak #a- a,uk% -a;u !aka-

!'-uru-% k'u,uha- 'har9har #+a"a- # ,'!a, ,#ur% haraa- k+'- ?'a,

'!uh% +'!ah% r/a"a, !'-kah% r/a"a, k'+uara&

& Da,a 8"'k,;Da,a "a- #+ha, +a-u- a,au !'+a+u '-kaa- ;k a,au '-u-a- !'+u, :

a!',r a"u#ara kr #a- ka-a-% -"'r ,'ka- a#a a"u#ara% ha+ '!'rkaa-

+a8ra,8ru! #a- #a-8,k&

7& ANALISA DATAM'ruaka- r8' -,'+'k,ua+ "a- !'ruaka- k'!a!ua- '-'!a-a- #a"a kr

"a- 'r#aarka- +!ah% '-',ahua- "a- a!a #'-a- !aa+ah "a- ##aa, a#a

k+'-&

& DIAGNOSA.EPERA$ATAN

a& N"'r 'rhuu-a- #'-a- a#a-"a '-'ka-a- !aa ,u!8r&& Ga-ua- !8+,a ;k 'rhuu-a- #'-a- !8+a +'-a-ahu&

?& .'?'!aa- 'rhuu-a- #'-a- 'ruaha- a!ara- ,uuh&

#& Ga-ua- hara #r 'rhuu-a- #'-a- k'?a?a,a- '#ah

'& R'k8 -;'k 'rhuu-a- #'-a- +uka 8'ra&;& .ura--"a '-',ahua- ,'-,a- k8-#% r8-8% #a- 'r,a '-8a,a-

'-"ak,-"a 'rhuu-a- #'-a- kura--"a -;8r!a&

5& PERENCANAAN

P'r'-?a-aa- k''ra/a,a- a#a+ah '-'!a-a- #ar '-?a,a,a- 'r'-?a-aa-

'ra/a,a- u-,uk !'!'-uh k'u,uha- k+'- "a- ,'+ah #k',ahu&

Pa#a 'r'-?a-aa- !'+u, ,uua- #'-a- kr,'ra ha+% -,'r@'-% ra8-a+%

!+'!'-,a #a- '@a+ua&

a& Ga-ua- raa -"a!a- -"'r 'rhuu-a- #'-a- a#a-"a '-'ka-a- !aa ,u!8r%

#,a-#a #'-a- :

DS :

.+'- !'-'+uh -"'r a#a 'k,ar a"u#ara ''+ah kr !'-a+ar k' ka-a-&


9/13

DO :

1) .+'- -a!ak !'r-2) .+'- -a!ak 'ak

3) Na!ak +uka # @'ra- a#a a"u#ara ''+ah kr

Tuua- : N"'r ,'ra,a&.r,'ra Ha+ :

a) .+'- !'-a,aka- -"'r 'rkura- a,au h+a-&) N"'r ,'ka- ,#ak a#a

?) Ekr' /aah ,'-a-

#) Luka '!uh #'-a- ak

I-,'r@'- :

1) .a karak,'r,k -"'r% ka+a -"'r% ;a, -"'r% +8ka #a- '-"'ara-&

Ra8-a+ : U-,uk !'-',ahu 'auh!a-a 'rk'!a-a- raa -"'r "a-

#raaka- 8+'h k+'- 'h-a #aa, #a#ka- 'aa a?ua- u-,uk -,'r@'-

'+a-u,-"a&2) B'r 8 "a- !'-"'-a-ka-&

Ra8-a+ : Daa, !'!'-aruh k'!a!ua- k+'- u-,uk r+'k,raha, '?ara

';'k,; #a- #aa, !'-ura- -"'r&

3) A-urka- ,'k-k r'+aka -aa #a+a!&

Ra8-a+ : R'+aka -aa #a+a! #aa, !'-ura- raa -"'r #a-

!'!'r+a-?ar rku+a O2 k' '+uruh ar-a-&


10/13

Ra8-a+ : U-,uk !'-?'ah k'kakua- '-# "a- #aa, 'r+a-u, a#a

k','ra,aa- 'rak&2) Ba-,u #a+a! ak,@,a 'ra/a,a- #r 'ua k''r+ua-

Ra8-a+ : M'-h'!a, '-'r a'- #a- !'-?'ah k'+'+aha-&

3) Ba-,u a!u+a #a- #8r8- !'!'rak 8,ur&

Ra8-a+ : U-,uk !'-h-#ar k',#ak'!a-a- #a- k','ra,aa- #a+a!

'raka- #a- 8,ur&

?& .'?'!aa- 'rhuu-a- #'-a- 'ruaha- a!ara- ,uuh% #,a-#a #'-a- :

DS :

1) .+'- !'-a,aka- ,aku, #,8+ak 8+'h 8ra- +a-2) Ekr' /aah ,a!ak !uru-

3) T#ak !au !'+ha, ,uuh-"a

DO :

1) .+'- ,a!ak ,aku, !'+ha, a-8,a ,uuh-"a&

2) Tuua- : .'?'!aa- #aa, 'rkura-&

.r,'ra Ha+ :

1) .+'- ,a!ak ,'-a-2) Mau 'rar,a #a+a! r8ra! ,'ra

I-,'r@'- :

1) D8r8- k+'- u-,uk !'-'kr'ka- 'raaa--"a&

Ra8-a+ : Pr8' k'h+a-a- aa- ,uuh !'!u,uhka- '-'r!aa-% 'h-aa'- #aa, !'!ua, r'-?a-a u-,uk !aa #'a--"a&

2) Dkuka- ,a-#a #a- 'a+a #'r'&

Ra8-a+ : R'ak u!u! ,'rha#a ,' r8'#ur #a- k'u,uha- #aa, #k'-a+

#a- #ukur&

3) Dkuka- ,a-#a #a- 'a+a #'r'

Ra8-a+ : .'h+a-a- a"u#ara #aa, !'-"'aka- 'ruaha- a!ara- #r%

,aku, ar-a- aru,% #a- ,aku, r'ak aa-a- ,'rha#a 'ruaha- ,uuh&


11/13

1) Dkuka- #'-a- k+'- a,au 8ra- ,'r#'ka, r'8- k+'- ,'rha#a

'-"ak,-"a&Ra8-a+ : !'!a-,u #a+a! !'!a,ka- !aa+ah u-,uk !'!u+a r8'

'!'?aha- !aa+ah

2) T-au u+a- ';'k '!'#aha-Ra8-a+ : !-a- a-,a #aa, !'!a-,u a'- !'!u+a r8'

a#a,a&

3) B'rka- #uku-a- '!8 k+'-&Ra8-a+ : k+'- a !'-'r!a k'a#aa- #r-"a&


12/13

Ra8-a+ : M'!'rka- '-',ahua- #aar% #!a-a a'- #aa, !'!ua,

+ha- 'r#aarka- -;8r!a% #a- #aa, 'rar,a #a+a! r8ra! ,'ra&2) Dkuka- 'r+u-"a k''!a-a- k''ha,a-% -u,r% !aka-a- #a-

'!auka- ?ara- "a- a#'kua,&

Ra8-a+ : M'!'rka- -u,r "a- 8,!a+ #a- !'!'r,aha-ka- @8+u!'rku+a u-,uk !'--a,ka- r''-'ra ar-a- a,au r8' '-"'!uha-&

3) A-urka- u-,uk a-"ak 'r,raha, #a- !'!a,a ak,;,a "a- 'ra,&

Ra8-a+ : M'-?'ah !'!a,a k'+'+aha-% !'--ka,ka- '-"'!uha-% #a-

!'--ka,ka- 'raaa- 'ha,&


13/13

Sa!uh#aa, R&% (1557)% Buku Aar I+!u B'#ah% E# R'@% EGC% *akar,a

asuhan keperawatan carsinoma mammae

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